Medical FISDAP 2022
What is a partial seizure? Correct Answer: a seizure that affects only one part or one side of the brain
What is Jacksonian
... [Show More] march (partial) seizure? Correct Answer: An example of a Jacksonian march in a simple partial seizure is shaking of the left hand, which moves to the left arm, then shoulder, then head, then right arm, then right hand, and finally moves out of the body.
what is a complex partial seizure? Correct Answer: Complex partial seizures involve subtle changes in LOC. Here the patient can become confused or less alert, have hallucinations, or become unable to speak. Some small movements of the head or eyes may occur. Patients typically do not become unresponsive.
What medication for status epilepticus? Correct Answer: Diazepam (valium), Midazolam (versed), and Lorazepam (ativan) IV IO IM
What treatment do you do for sickle cell? Correct Answer: Oxygen, IV fluid, keep patient warm,give something for pain
What is pyrogenic reaction? Correct Answer: A reaction to an infusion or administration set. Gives fever like symptoms or symptoms of shock.
What is a pyrogen? Correct Answer: Foreign proteins capable of producing fever.
What do you do if you notice pyrogenic reaction while giving an infusion? Correct Answer: Stop immediately. pull iv, and start another one on another arm.
What type of patient would be given diphenhydramine? Correct Answer: Patients having allergic reaction but not in respiratory distress.
Antihistamine Administration should be considered only in the patient with a mild reaction, or after epinephrine has been administered.
What is a clonic seizure? Correct Answer: consist of contraction to flexion, jerking movements
What is a tonic seizure? Correct Answer: Causes stiffening of the muscles of the body, generally those in the back, legs and arm
What is a tonic-clonic seizure? Correct Answer: A generalized seizure in which the patient loses conciousness and has jerking movements of paired muscle groups.
What is Hematochezia? Correct Answer: bright red blood in stool
If you see Hematochezia, where is the bleeding? Correct Answer: Lower GI tract
What is melena? Correct Answer: A black, tarry stool indicating a GI bleed
If you see melena, where is the bleeding often coming from? Correct Answer: The upper GI tract
What is an aura? Correct Answer: visual disturbances before a migraine or seizure.
What can dilated pupils indicate? Correct Answer: Shows fight or flight sympathetic nervous system stimulation. Cocaine, methamphetamines, and hallucinogens too.
What can unequal pupils mean? Correct Answer: increased intracranial pressure/ stroke.
What's another name for unequal pupils? Correct Answer: Anisocoria
What do pinpoint pupils indicate? Correct Answer: narcotic or opioid overdose
How do you treat someone with trigeminal neuraalgia? Correct Answer: Treat them as you would treat a stroke patient.
Trigeminal nerve (CN 5) controls what? Correct Answer: pain, chewing, temperature, touch of mouth or face.
How do you treat an allergic reaction with difficulty breathing and facial swelling? Correct Answer: Epinephrine 1 to 1000IM Benadryl. Protect the Airway. Don't delay administration of epinephrine. If that's not enough you can give an IV infusion of epinephrine in conjunction with an IV fluid bolus.
How often can you give epi? Correct Answer: every 5-15 mins
When do you give naloxone? Correct Answer: Naloxone or Narcan is used for the treatment of unresponsive or unknown patients, or those with suspected narcotic overdose.
How do you give Naloxone and what is the dose? Correct Answer: The initial dose is 0.4 to 2 mg via IV. You may repeat this dose until you reach 10 mg. Can also be given IM or IN.
What is a patient at risk for when detoxifying from alcohol? Correct Answer: delirium tremens and seizures
What type of patient would suffer from cholecystits? Correct Answer: Patients who have had major trauma, sepsis, sickle cell, prolonged fasting.
What is cholecystitis? Correct Answer: inflammation of the gallbladder
are women more likely to have cholecystitis? Correct Answer: yes
Five F's of cholelithiasis risk? Correct Answer: Fair (caucasian)
Fat
Female
Fertile
Fourty to 50
What should you look for in patient with DVT? Correct Answer: swelling of affected limb with pain and tenderness. Pain and tenderness of calf muscle on dorsiflection (Homan sign)
What is an aortic aneurysm? Correct Answer: aorta weakens and eventually splits.
What is a sign of aortic aneurusm? Correct Answer: Pressure difference is greater than 20 mmhg between the arms May indicate the presence of an aortic aneurysm.
what are signs of ascending aortic dissection? Correct Answer: (More common in younger patients) is usually associated with pain that is either substernal or located in the neck, throat, jaw, or face.
what are signs of descending aortic dissection? Correct Answer: (More common in older patients) usually produces (tearing) flank pain between the shoulder blades or pain in the back, abdomen, or lower extremities.
what are signs of abdominal aortic aneurysm? Correct Answer: sually associated with sudden back pain accompanied by abdominal pain and tenderness. The patient may be hypotensive and have a pulsating abdominal Mass between the xiphoid process and umbilicus.
What is the acronym SLUDGE used for? Correct Answer: Identify [Show Less]